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General NPI Number Information
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NPI Number | 1063731826
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Entity Type | Individual
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Provider Name | FRANKLIN DALE YATES PTA
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Gender | Male
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 38130 PRETTY POND RD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-1419
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Country | US
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Telephone | 813-779-4501
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Fax | 813-779-4509
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Provider Business Mailing Address
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Address Line | 5751 FRONTIER DR
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-7611
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Country | US
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Telephone | 813-782-7181
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA15273
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License Number State | FL
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